Maternal factors that influence Birth Preparedness and complication readiness among women attending antenatal clinic at Mbagathi County Hospital, Nairobi Kenya.https://www.kjnm.co.ke/index.php/kjnm/article/view/149
<p><strong>Introduction</strong>: Birth Preparedness/ Complication Readiness (BP/CR) involves making early birth preparations in order to improve maternal health outcomes. This involves participation of family and community members. This study aimed at identifying the maternal factors that influence birth preparedness and complication readiness among women aged 18-49 attending antenatal clinic (ANC) at Mbagathi County Hospital in Nairobi, Kenya.</p><p><strong>Methods: </strong>Descriptive cross-sectional design involving qualitative and quantitative approaches of collecting data from 202 purposively sampled women at 32 weeks or more pregnant, aged 18-49 years, attending the ANC. The key informants were four nurses from maternity department. Semi structured questionnaires were used to collect data from women, interview guides for one focused group discussion.</p><p><strong>Findings: </strong>Maternal factors were significantly associated with BP/CR. On parity, only 60% of the first-time mothers were considered to be prepared for child birth, while, 84.4 % of those who had delivered before were prepared for child birth OR 3.61; 95% CI 1.86-7.01 (p &lt; 0.001). Higher number of ANC attendance yielded better preparation. Those who had attended the ANC 4 or more times were reported to be 3.16 times likely to be better prepared for birth than those who had paid less visits (OR=3.16, CI=95%, 1.22-8.16, x<sup>2</sup>=16.8, p= 0.017). Those who had discussions with the health professionals about BP/CR were twice better prepared than those who had not (x<sup>2</sup>=4.78, p = 0.03). The period of initial ANC attendance and the previous history of abortion did not influence birth preparedness.<strong> </strong></p><p><strong>Conclusion and recommendations: </strong> The maternal factors that had significant influence to BP/CR are, parity, number of ANC attendants, and discussions of BPCR, while those of no significance were the period of initiation of ANC attendance and history of previous abortion or still birth. During ANC Special attention should be given to those who are pregnant for the first time, all women should be encouraged to pay regular ANC clinics and more time should be used to discuss BP/CR.</p>Rhoda Achieng OnonoRosemary OkovaNancy Maingi
Copyright (c) 2020 Kenyan Journal of Nursing & Midwifery
2020-03-042020-03-045117Epidemiology of Cystic Echinococcosis in Pastoral Communities of Kenyahttps://www.kjnm.co.ke/index.php/kjnm/article/view/157
<p><strong>Abstract</strong></p><p><strong> </strong><strong>Introduction:</strong> Cystic Echinococcosis (CE), a chronic debilitating parasitic disease in humans caused by larval stage of dog tapeworm, <em>Echinococcus granulosus</em> has a worldwide distribution. Over time, Turkana in Kenya was the only known endemic region. This study reports status of CE in pastoral communities of Kenya.</p><p><strong>Methods: </strong>Individuals were screened to identify presence of hydatid cysts. This exercise was done at a health facility, local homestead or school while either lying down or standing up. The study team used a portable ultrasound-imaging machine (Titan Ultrasound system, SonoSite with a 5.2 MHz transducer). Prior to examination, comprehensive information about the disease and its causative agents and ultrasound procedure was provided using pictorial diagrams that showed pictures with different stages of the disease. <strong></strong></p><p><strong>Results: </strong>14,088 individuals had full body examination. The prevalence of CE ranged from 23/2577 (0.9 %) in Samburu and ‘Maasai Mara’ to 188/6512 (2.9%) in Turkana North. Most of the hydatid cysts (65.5%) were found in the liver followed by 18.6% in the kidneys, 11.3% spleen, 2.7% lungs 1.7% and heart 0.2% cysts. <strong></strong></p><p><strong>Conclusion: </strong>Low prevalence recorded in Samburu (0.9 %) and Maasai Mara communities is surprising compared with Turkana North (2.9 %). This is despite higher infection rates in livestock (&gt;25%) and having more dogs per household. Tharaka and Isiolo had comparatively high numbers of human CE cases. Tharaka North is located at the periphery of Meru National park and often-wild animals’ frequent homesteads. People in this area keep large numbers of domestic dogs to keep away wild animals at night, which could contribute to the reported numbers in the area. A possible reason for the numbers in Isiolo (an ethnically mixed community) could be due to cultural and behavioral practices amongst the three major communities (Borana, Samburu and Turkana)</p>Dorothy KagendoEric M MuchiriJaphet MagamboEberhard Zeyhle
Copyright (c) 2020 Kenyan Journal of Nursing & Midwifery
2020-03-042020-03-0451818Institutional related factors influencing adherence to The Nursing Council of Kenya medication administration guidelines among nurses in a mission hospital in Meru, Kenyahttps://www.kjnm.co.ke/index.php/kjnm/article/view/158
<p><strong><em>Abstract:</em></strong></p><p><strong><em>Introduction </em></strong></p><p><strong><em>Medication administration errors, which have a significant financial and emotional impact can be greatly reduced if medication administration guidelines are well adhered to. </em></strong></p><p><strong><em>Methods</em></strong></p><p><strong><em>A descriptive cross-sectional study was carried out among 117 nurses. The sample was 106 nurses chosen using stratified and simple random sampling. Data was collected using a self-administered questionnaire and an observational checklist. The analysis was done using SPSS Version 21 software. </em></strong></p><p><strong><em>Findings</em></strong></p><p><strong><em>84.7% respondents reported that the hospital had a policy, 62.4% reported that the hospital facilitated CPD, 76.5% reported that the staffing level was inadequate, 14.1% reported that inter-professional relationship was uncooperative, 82.4%, reported it was cooperative while 3.5% reported that it was very cooperative. On availability of resources, 44.7% reported that resources were always available while 55.3% reported that they were not always available. There was a significant association between CPD, inter-professional relationship and availability of resources with adherence to the Nursing Council of Kenya medication administration guidelines </em></strong><strong><em>(p=&lt;0.05).</em></strong></p><p><strong><em>Conclusion</em></strong></p><p><strong><em>The adherence level was found to be low. Various institutional related factors had a high influence on adherence to the guidelines. The institution can work towards improving the staffing levels and ensure the availability of resources.</em></strong></p><p> </p>Mary Mumbi Ng'ang'aDr. Catherine Mutunga MwendaMr. George Kimani Njoroge
Copyright (c) 2020 Kenyan Journal of Nursing & Midwifery
2020-03-042020-03-04511925Correlation of unsafe abortion and HIV Seropositive status among Women of reproductive age in a National Referral Hospital in Kenyahttps://www.kjnm.co.ke/index.php/kjnm/article/view/167
<p><strong><em>Introduction</em></strong><em>:</em> Unsafe abortion is a leading cause of maternal morbidity and mortality in Kenya. In the developing world approximately 35 million people live with HIV/AIDS. The aim of this study was to establish the correlation between unsafe abortion and HIV seropositive status.</p><p>Methods: This was a cross sectional study. Participants were selected using simple random sampling. Data was collected using a self-administered questionnaire and analyzed using SPSS version 21.0. at a statistical threshold of p&lt;0.05.</p><p><strong>Findings:</strong> Seventy-two women of reproductive age participated in the study. Proportion of unsafe abortion was high among respondents aged 20 years. Among 33% of the participants who had ever been pregnant, 66% procured an unsafe abortion. The study depicted an association between knowledge of HIV status and the participants decision to procure unsafe abortion (p=0.0023). Similarly, women who had ever had an abortion in their previous pregnancies were more likely to procure an abortion on learning their HIV seropositive status (OR- 8.504, p=&lt; 0.0001).</p><p>Conclusion: HIV seropositive status influences women’s decision to procure unsafe abortion. Therefore, there is need for improved access to sexual and reproductive health services within the four-pronged context of elimination of Mother to Child Transmission(eMTCT).</p>Diana Wangeshi NjugunaAnthony Ayieko Ong’anyMary MurigiCaroline Kerubo
Copyright (c) 2020 Kenyan Journal of Nursing & Midwifery
2020-03-042020-03-04512631